Understanding the reasons for using methamphetamine by sexual minority people in Dhaka, Bangladesh

Khan, Sharful Islam; Khan, Mohammad Niaz Morshed; Hasan, A M Rumayan; Irfan, Samira Dishti; Horng, Lily; Chowdhury, Ezazul Islam; Azim, Tasnim

doi:10.1016/j.drugpo.2019.07.009

Cited by 20 publications

(17 citation statements)

References 34 publications

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“…In this study, MSM performing insertive sex were more likely to report unprotected sexual behavior. Sexual pleasure, self-efficacy in the area of sexual control, and psychosocial health mediate differences among sexual roles in terms of condom use [28][29][30]. Furthermore, the proportions of MSM who use drugs for sexual pleasure increased from 5% in 2003 to 40% in 2014 [5].…”

Section: Principal Findingsmentioning

confidence: 99%

The Characteristics and Risk Factors of Web-Based Sexual Behaviors Among Men Who Have Sex With Men in Eastern China: Cross-sectional Study

Chen

Jiang

et al. 2021

JMIR Public Health Surveill

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Background Finding casual sex partners on the internet has been considered a huge challenge for HIV transmission among men who have sex with men (MSM) in China. Objective This study aimed to identify the characteristics and risk factors of finding causal sex partners on the internet among MSM in Zhejiang Province, China. Methods This was a cross-sectional study. Participants were enrolled by 4 community-based organizations (CBOs) and 10 Voluntary Counselling and Testing (VCT) clinics through advertisements in bathrooms, bars, and gay hook-up apps from June to December 2018. A CBO- or physician-assisted survey was conducted to collected information on finding casual sex partners, perceived HIV infection, and HIV risk behaviors. Results Among 767 participants, 310 (40.4%) reported finding causal sex partners on the internet. Factors associated with finding casual sex partners on the internet included watching pornographic videos on the internet more than once a week (adjusted odds ratio [aOR]=1.881, 95% CI 1.201-2.948), discussing “hooking-up online” with friends (aOR=4.018, 95% CI 2.910-5.548), and perceiving that the likelihood of HIV infection among casual sex partners sought on the internet was “medium” (aOR=2.034, 95% CI 1.441-2.873) or “low” (aOR=2.548, 95% CI 1.524-4.259). Among the participants who reported finding casual sex partners on the internet, 30.2% (91/310) reported having unprotected sex with casual sex partners encountered on the internet in the past 6 months. On multivariate logistic regression analyses, knowing the HIV infection status of casual sex partners sought on the internet was significantly associated with performing inserted intercourse (aOR=1.907, 95% CI 1.100-3.306) and a decreased risk of inconsistent condom use (aOR=0.327, 95% CI 0.167-0.642). Conclusions Web-based casual sexual behavior is becoming more prevalent, and the rate of unprotected sex among MSM in Zhejiang Province is high. Future HIV prevention approaches should emphasize the importance for MSM to proactively determine the HIV infection status of potential casual sex partners sought on the internet.

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Section: Principal Findingsmentioning

confidence: 99%

The Characteristics and Risk Factors of Web-Based Sexual Behaviors Among Men Who Have Sex With Men in Eastern China: Cross-sectional Study

Chen

Jiang

et al. 2021

JMIR Public Health Surveill

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“…MSM and transgender communities may be inter-linked but in hard-to-reach or hidden networks, hence 24 (%) studies employed snowball sampling or RDS technique to reach, recruit, and interview the participants. This non-probability sampling technique is effective when recruiting participants from populations which may be stigmatized and/or hidden ( 53 ). Snowball sampling involves researchers asking participants they have recruited to tell their peers about the research ( 54 ).…”

Section: Resultsmentioning

confidence: 99%

Methodologies of Stigma-Related Research Amongst Men Who Have Sex With Men (MSM) and Transgender People in Asia and the Pacific Low/Middle Income Countries (LMICs): A Scoping Review

Septarini¹,

Hendriks²,

Maycock³

et al. 2021

Front. Reprod. Health

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Much stigma-related research focuses on marginalized populations, including men who have sex with men (MSM) and transgender people. The importance of research in this area is widely recognized, however methodologies and measures vary between studies. This scoping review will collate existing information about how stigma-related research has been conducted in low/middle income countries (LMICs) within the Asia Pacific region, and will compare research designs, sampling frameworks, and measures. Strengths and limitations of these studies will inform recommendations for future stigma-related health research. A methodological framework for scoping studies was applied. Searches of Psych INFO, Scopus, ProQuest, Global Health and PubMed were used to identify articles. Stigma-related research amongst MSM and transgender communities, published between 2010 and 2019 in LMICs within the Asia Pacific region were included. A total of 129 articles based on 123 different studies were included. Of the 129 articles 51.19% (n = 66) were quantitative; 44.96% (n = 57) were qualitative and 3.88% (n = 5) were mixed methods studies. The majority of studies (n = 57; 86.36%) implemented a cross sectional survey. In-depth interviews (n = 20, 34.48%) were also common. Only 3.88% of studies utilized mixed-methods design. Non-probabilistic and probabilistic sampling methods were employed in 99.22 and 0.78% of studies respectively. The most common measures used in quantitative studies were the Center for Epidemiological Study on Depression (CES-D) (n = 18) and the Self Stigma Scale (SSS) (n = 6). Strengths and limitations proposed by researchers included in this review are summarized as lesson learnt and best practices in stigma-related research.

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“…As reflected by previous literature in Bangladesh and the South Asian region, MSM and hijra are exposed to a unique set of adversities and complexities such as genderbased discrimination and stigmatization, homophobia, and criminalization of male-to-male sex. 21,24,25 Other literature also suggested that these barriers affect their scope to uptake HTS and government as well as UN bodies have called for the prioritization of ensuring maximum testing coverage, particularly for KPs. Therefore, such a theoretical analysis could help foster a contextualized understanding of the multilayered barriers of HTS uptake.…”

Section: The Social Ecological Model For Analyzing the Multifaceted B...mentioning

confidence: 99%

“…During community gatherings and quests to entice transactional sex clients, they wear feminine dresses and apply makeup. 24,27 On the other hand, panthi self-identify as men but pursue relationships with kothi. Hijra are transgender women who do not conform to male or female gender roles although they encompass characteristics of either or both gender.…”

Section: Study Population and Samplementioning

confidence: 99%

“…Hijra are transgender women who do not conform to male or female gender roles although they encompass characteristics of either or both gender. 21,24 This study employed a specific type of purposive sampling technique, known as maximum variation sampling. Through this sampling approach, the researchers aimed to recruit study samples that were diverse in terms of age, sexual orientation, gender, marital status, occupation, etc.…”

Section: Study Population and Samplementioning

confidence: 99%

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Understanding the Barriers of HIV Testing Services for Men Who Have Sex With Men and Transgender Women in Bangladesh: A Qualitative Study

Khan

Sarwar

Irfan

et al. 2021

Community Health Equity Research & Policy

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Coverage of HIV testing services (HTS) is generally low among men who have sex with men (MSM) and transgender women ( hijra) in Bangladesh, thus impeding the national goal of attaining the 90-90-90 target. In this context, this article delineates HTS uptake barriers among these populations. This qualitative study entailed 30 in-depth interviews, six focus groups and seven key-informant interviews with purposively selected MSM and hijra, alongside service providers. Participants cited individual and interpersonal barriers such as low risk perception and misconceptions about HIV testing, programmatic barriers such as knowledge gaps among peer service providers, as well as community and structural barriers such as the criminalization and stigmatization of male-to-male sex. Considering these contexts, it is essential for stakeholders to improve the HTS modality using multipronged approaches to address the multifaceted barriers of HTS uptake.

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Understanding the reasons for using methamphetamine by sexual minority people in Dhaka, Bangladesh

Cited by 20 publications

References 34 publications

The Characteristics and Risk Factors of Web-Based Sexual Behaviors Among Men Who Have Sex With Men in Eastern China: Cross-sectional Study

The Characteristics and Risk Factors of Web-Based Sexual Behaviors Among Men Who Have Sex With Men in Eastern China: Cross-sectional Study

Methodologies of Stigma-Related Research Amongst Men Who Have Sex With Men (MSM) and Transgender People in Asia and the Pacific Low/Middle Income Countries (LMICs): A Scoping Review

Understanding the Barriers of HIV Testing Services for Men Who Have Sex With Men and Transgender Women in Bangladesh: A Qualitative Study

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